Casey Shannon Mulligan, PA-C
NPI #1700604865 in Nanticoke, Pennsylvania
Provider Information
- NPI Number
- 1700604865
- Entity Type
- Individual
- Name
- Casey Shannon Mulligan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 27, 2024
- Last Updated
- Sep 29, 2024
Practice Location
- Address
- 128 E MAIN ST
- City
- Nanticoke
- State
- Pennsylvania
- ZIP Code
- 18634-1604
- Phone
- (570) 258-1304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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